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?:abstract
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An emerging viral infection is a global public health challenge The development of modern, fast, and extensive transportation makes the outbreak hard to contain Everyone is at risk, and the outbreak can rapidly turn into a pandemic crisis, like what we are currently facing for the 2019 novel coronavirus disease (COVID-19) Prompt diagnosis of the case is required to improve patients\' prognosis and control of the outbreak The common manifestations of COVID-19 include fever, cough, dyspnea, and malaise However, patients may present with atypical symptoms that pose a diagnostic challenge We report the first case of an elderly male who presented with rhabdomyolysis and later was diagnosed with COVID-19 Clinicians should be aware that rhabdomyolysis can be an initial presentation of COVID-19 or can occur at any time during the disease course Patients with rhabdomyolysis should receive aggressive fluid administration to prevent acute kidney injury (AKI) However, COVID-19 patients are at risk of worsening oxygenation and acute hypoxemic respiratory failure from fluid overload Therefore, cautious fluid administration is needed in COVID-19 patients with rhabdomyolysis
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